Loading...
1911 BEACH AVE - INTERIOR REMODEL r'�'" w`}L CITY OF ATLANTIC BEACH r _'f 800 SEMINOLE ROAD — ATLANTIC BEACH, FL 32233 d-L0;3 >% INSPECTION PHONE LINE 247-5814 RESIDENTIAL -ALTERATION RESIDENTIAL MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: RES18-0018 Description: INTERIOR REMODEL Estimated Value: 0 Issue Date: 1/30/2018 Expiration Date: 7/29/2018 PROPERTY ADDRESS: Address: 1911 BEACH AVE RE Number: 169688 0000 PROPERTY OWNER: Name: DIMASCIO SUSAN F Address: 1192 GARRISON DR SAINT AUGUSTINE, FL 32092 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: K.C. Services of North Florida, Inc. Address: 12851 Southern Hill CIR JACKSONVILLE, FL 32225 Phone: PERMIT INFORMATION: Please see attached conditions of approval. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. * A notice of Commencement is only required for work exceeding an estimated value of $2,500. For HVAC work, a Notice of Commencement is only required when HVAC work exceeds and estimated value of$7,500. 01,Al.\ City of Atlantic Beach APPLICATION NUMBER Jsn� Building Department (To be assigned by the Building Department.) 800 Seminole Road s �� ES i� Atlantic Beach, Florida 32233 5445 1 B — o c--3( 6 T.,..,.110_,. Phone(904)247-5826 • Fax(904)247-5845 -_,o i 5P E-mail: building-dept@coab.us Date routed: ( ii7 ft pi, City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: I 9 I �, aE-Re_ c_-. ye. Department review required Yes No uilding t/ Applicant: 1< , C, SRivi t c-�S 0-c t V Planning &Zoning Tree Administrator Project: ( N e_z(O(& Public Works Public Utilities Public Safety Fire Services Review fee $ 1 Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: ❑Approved. ❑Denied. ['Not applicable (Circle one.) Comments: //j0c___BUILDING PLANNING &ZONING Reviewed by: Date: /- -7 2 TREE ADMIN. Second Review: Approved as revised. ❑Denie . ❑Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 JAN-11-2018 14:53 From: To:6411601 Pa9e:1/2 "'``Lfr. Building Permit Application Updated 12/8/17 �' . fi �M- w •,,,•, V City of Atlantic Beach ,n� a1300 Seminole Road,Atlantic Beach,FL 32233 Phone;(904)247-5826 Fax:(904247-5845) Job Address: / s . . j . / . 4/71 lVI Permit Number: ' \ E s/i O 00 ( 63 Legal Description/'f7 9-25-29 .,7.3 �!/617`Az ile Be.,aN2 h' r�14. '9RE# / nh ge- °41e valuation of Work(Replacement Cost)$ / Ace Go Heated/Cooled SF Non-Heated/Cooled • Class of Work(Circle one): New Xddition Alteration MIMI Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercial i • If an existing structure,is a fire sprinkler system Installed?(Circle one): Yes N/A • Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal Describe in detail the type of work to be performed: A:"e,A04/e d.#05.74,/,9.., //11s74g// e/4/ 4164067‘s, ,44.044 )J(/kIGS/ F/�at./N / _r.J/IJ/ ,,,1,A„Gts Florida Product Approval it ifor multiple products use product approval form 0 d/,Q 0 property Owner Information U Name: Sfd. 7'S ' r Address: '/ z9,,e,i i ) 2'• City f_'i,/TS ��Ct�CP",` State. .Zip•_a79 '2_ Phone W E-Mail U Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) IJ_ Contractor Information L� Name of Company: A'� _4 -�/e'e4 pt�E /�e Qualifying Agent: ZA)Ar//l ��/,c/ 4 41 Address 1,2 gill A jesue.,7" , z /41/./Z„4 e/A- city p7,7e,e /i//e State fro Zip .,..72,2_5-• ,•"-` Office Phone `9/a y- B'!3 -•U$'7y Job Site/Contact Number a '/- ”/3-© 'V 10 State Certification/Registration# CVC /57O/,2 E-Mail ,e,e,A).4)/e3.Z2s2, GAai/, Loan! Architect Name&Phone a Engineer's Name&Phone u _ _ i� N Workers Compensation 1 XPmm'l,pf _ - - U Exempt/Insurer/lease Employees/Expiration Date - to elb Application is hereby made to obtain a permit to do the work and installations as indicated.I certify that no work or installatim<hZ -.J Q i commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regulate Z N construction in this jurisdiction.I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,SIGs , w 9 G WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc.NOTICE:In addition to the requirements®tin l=. ZH permit,there may be additional restrictions applicable to this property that may be found in the public records of this county p nd) 0 O Q there may be additional permits required from other governmental entities such as water management districts,state agent Q V ,pe 0 federal agencies. 0 VisiZCCZ OWNER'S AFFIDAVIT:I certify that all the foregoing information is accurate and that all work will be done in compliance wltt t -I u",_ U) applicable laws regulating construction and zoning. CC Q IT Z la WARNING TO OWNER:YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY- p fr w w RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU iNTQd4 a g m TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE f= w 0 w LI %.i fa Lo W RECORDING YOUR NOTICE OF COMMENCEMENT. W Signature of Owner or Agent) natur- - on or) ,,,,`�`�� lmm�,,.„��� (including contractor) Igt ri? adv frq�to(or affirmed)before me this 12--day of Si ed and sworn to((or affi /•efore me th' •ay of r ,r,....y•• ,v/G(r4 6 ,by 5�L-C-4-4 it'{'!C _ ZOJ ,, :� _,/ , , WAN, .O/t) N� , (Signature of Notes �� _ (Signature of , _i. .z � - F�UB L.i C a,, lllll ,Lih sonallerrownpRPersonally Known OR ,: •Allyl; TONIGI i a' a' a1 enti(fiation„ Y? ( )ProducedIdentification ;.r to :I MYCOMMISSION IIFF924951 '.,� 6Rigii pn• ' 2- C-2 4 type of ldenttflcatlon: EXPIRES;October 6,2019 x riluuuHUN►s Rf„t4` °p m Uoc#201 8019511,OR BK 18262 Page 1359, Number Pages:1 JAN-11-2018 14:54 From: Recorded 01/25/2018 11:35 AM, To:6411601 Pase:2/2 RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 NOTICE OIF COMMENCEMENT State ofL.,ZW447 , Cotte of Tax Folio No._ � To Whom 1t May Concern: The undersigned hereby informs you that improvements will be elude to=lain real property, the Florida Statutes,the following information is stated in this NO'iiCB OFCOMM 'C in accordance with Section 713 of Legal Description ofpropea-ty being improved: - -7 Address of property being improved: / General description of improvements: .,,k7n/./GX/S 'I/ OR+ner:,� t/.rv. , 1" �.49, Address:___4! t J'0/.41/11 e 2 Nee,e, ,,/f Owner's interest in site of the improvement: • O 7 7-22 tree Simple Titleholder(if other than owner): ^_...— - - - Name: di/ Contractor._ d°/`�///Q,„e.S t� ... - �--�-- .._______ _ r� /1/s i'/t, t,y,.,,TgX, ,L. Telephone No.: #/,J/6171-41,0-2, / Fax No: ,� Surety(Zany) �'�7 Address: — Telephone No: Amount of Bond$ --- Fax lYo• Name and address of any person making a loan for the construction of the improvements Name: Address: ------ Phona No: Fax No: Num of person within the State of Floricht, other than himself,'designated by owner upon whom notices or other documents may be served: Name: — Address: -___ Telephone Na: � - ^_ Fax No: In addition to himself owner designates'the following person to receive u copy of the L.icnor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option) Name: Address: ! ' Telephone No: Fax Nur: „ dbcpiretion date of Notice of commencement(the expiration date is one(1)( )year from the date of recording unless a different dote is akACEOORRhaCORDER'S USE ONLY Ownb:R e e�j 1 �' fZ ",' ). ref ,y •"� 111111111111/ 11 'I I 1;. ,•.•. .._..-s',. 4,,�►1 4`1 8.^S�I1II ;P Date: ��i�y,�, �.` ' "-'}~G ,; P��o�114':AF�!�p••7� .$`fore Tee t}7ia f" day oi' _ ��_�_L�, c CoUrlty rr i+uTub s 1. f� 7"'r3 • .y("'^r S I �0 7 A 1!_ ,, = Personally coolly appeared ' Nt,� �/C'/i/J ., ?`^ `'1'� .' ,�..— / 9 Produced Identification: , amen, ...� ''i)...,,.„I..,\'',• ' ��Z A G ,y: =- Notary Public: _:'�slHG , =.: .OG UB1.\ �o, My commission expires: �il'!_ri .r "•. NUMBER 3a%�A :4 I'III FW J ER ,,`` ,.